The effect of an antioxidant gel compared to chlorhexidine during the soft tissue healing process: An animal study

J Periodontol. 2024 Nov;95(11):1086-1096. doi: 10.1002/JPER.23-0794. Epub 2024 Jun 3.

Abstract

Background: Prolonged inflammation and oxidative stress can impede healing. To enhance healing efficiency, many solutions have been employed. This is an in vivo study comparing chlorhexidine (CHX) to a commercial antioxidant gel (AO).

Methods: Envelope flaps were created in the lower incisor gingival region of 60 Sprague-Dawley rats, and acellular dermal matrix (ADM) was inserted. Animals were randomly assigned to postsurgical treatment application of AO gel or 0.12% CHX twice daily. A control group received no postsurgical treatment. Data collected (before surgery, 24 h, and 72 h) included surgical images, tissue samples, and weights. Blinded scorers assessed images using a wound healing scale. Real-time polymerase chain reaction (RT-PCR) was used for gene expression of tumor necrosis factor-alpha (TNFα), interleukin-1 (IL-1), myeloperoxidase (MPO), and superoxide dismutase (SOD).

Results: The AO group scored higher than the CHX and control groups in clinical evaluation (p < 0.05). At 24 h, TNFα expression was upregulated in the AO group compared to CHX (p = 0.027) and controls (p = 0.018). The AO group had significantly higher expression of antioxidant enzyme (SOD) at 24 h compared to CHX (p = 0.021). All animals lost weight in the first 24 h. Animals treated with AO or CHX regained more weight at 72 h than control animals (p = 0.034 and 0.003, respectively).

Conclusion: Animals treated with AO healed faster. AO led to earlier upregulation of TNFα and antioxidant enzyme SOD. We hypothesized that AO promoted an earlier inflammatory process while counteracting oxidative stress by increasing antioxidant responses via SOD.

Keywords: antioxidants; chlorhexidine; oxidative stress; wound healing.

Publication types

  • Comparative Study

MeSH terms

  • Acellular Dermis
  • Animals
  • Anti-Infective Agents, Local
  • Antioxidants* / pharmacology
  • Chlorhexidine* / pharmacology
  • Gels*
  • Gingiva* / drug effects
  • Interleukin-1 / metabolism
  • Male
  • Oxidative Stress / drug effects
  • Peroxidase* / metabolism
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley*
  • Superoxide Dismutase*
  • Surgical Flaps
  • Tumor Necrosis Factor-alpha* / metabolism
  • Wound Healing* / drug effects

Substances

  • Chlorhexidine
  • Antioxidants
  • Tumor Necrosis Factor-alpha
  • Superoxide Dismutase
  • Gels
  • Peroxidase
  • Interleukin-1
  • Anti-Infective Agents, Local